my stomach started off pretty bad, and it felt like my legs were me and I was tired, sir, having blue lips and her extremities were cold. So that's when it was like, This is not a normal flu. Sean Daly is Juliet's dad. Did you think that this might be a cove? It or Corona virus? My wife thought it was a possibility. She called to try to see if she could get tested. She didn't meet the criteria. She was more or less a healthy 12 year old. By that evening, Juliet was nearly dead. They had believed the room to intubate her, so they put her under an anesthesia. And then she went to cardiac arrests For a little less than two minutes. They had a perform CPR. What was her condition? When you first saw Juliet, she was about as close to death as you can get. Dr. Jake Climate Man is a pediatric cardiologists at Ochsner Hospital for Children in New Orleans. Her heart was barely squeezing. She was going into kidney failure. Liver failure, intubated him urgently and put on a ventilator. It's hard to believe we're talking about this same beautiful little girl But it's also hard to believe that all of this was possibly related to Cove in 19 a disease that wasn't really supposed to severely affect kids. Now it even has a name. It's called multi system inflammatory syndrome. In Children, there is a lot of cells and cell signaling in the body that that is just going crazy. And what that's doing is it's creating a lot of inflammation that's affecting the heart, the liver, kidney and, really all the cells of the body. It's been described as a Kawasaki like disease. That's another inflammatory disease most commonly diagnosed in Children. Awful rashes, a strawberry appearing tongue and destructive inflammation. But this is also different. There are so many questions like Why now? Why months into this pandemic? Are we first seeing this? And why is it so devastating to Children in the United States and Europe? Not so much in Asia, where some of the first Children were infected. We have interesting information coming in from Japan as well as Korea and Taiwan that no one there that we have been in contact with has seen the severe form of cardiovascular collapse in Children. Dr. Jane Burns is director of the Kawasaki Disease Clinic at Rady Children's Hospital, San Diego. No one can tell you for sure that the stars Kobe to virus is a trigger for Kawasaki disease. But there's certainly is circumstantial evidence We're seeing this and kids who don't have an active covert infection. Some of them do. But a lot of them are testing positive for an advised. A study published in The Lancet on Wednesday found that the number of Children diagnosed with Kawasaki like disease in Bergamo, Italy, jumped 30 fold after the pandemic overtook the region. Still in the United States, As frightening as it is for now, it still appears rare. Juliet was discharged after 10 days in the hospital. How are you feeling now? You look great. Well, good doesn't seem to be any you back 100%. Would you say back to normal be out of place. I feel kind of like 99%. We'll take 99%

Related video above: Doctors warn of strange new symptoms in childrenSkin doctors are suddenly looking at a lot of toes — whether by emailed picture or video visit — as concern grows that for some people, a sign of COVID-19 may pop up in an unusual spot.Boston dermatologist Esther Freeman expected to see skin complaints as the pandemic unfolded — various kinds of rashes occur when people get very ill from other viruses.“But I was not anticipating those would be toes,” said Freeman of Massachusetts General Hospital, who has viewed via telemedicine more toes in the last several weeks than in her entire career. They’re being called “COVID toes,” red, sore and sometimes itchy swellings on toes that look like chilblains, something doctors normally see on the feet and hands of people who’ve spent a long time outdoors in the cold.Don’t race to the emergency room if toes are the only worry, said the American Academy of Dermatology. Earlier this month, it issued advice that a telemedicine check is the first step for people wondering if they have “COVID toes” and who have no other reason for urgent care. Doctors then should decide if the patient should stay in home isolation or get tested. The most common coronavirus symptoms are fever, a dry cough and shortness of breath — and some people are contagious despite never experiencing symptoms. But as this bewildering virus continues to spread, less common symptoms are being reported including loss of smell, vomiting and diarrhea, and increasingly, a variety of skin problems.In one report, dermatologists evaluated 88 COVID-19 patients in an Italian hospital and found 1 in 5 had some sort of skin symptom, mostly red rashes over the trunk. In another, Spanish doctors reported a series of 375 confirmed virus patients with a range of skin complaints, from hives to chickenpox-like lesions to the toe swellings.Pictures of reddened toes and rashes all over social media and doctor chat groups have “already enabled the rapid recognition of skin signs by dermatologists. It is now time for rigorous science” to understand the link, Dr. Kanade Shinkai of the University of California, San Francisco wrote in a recent JAMA Dermatology editorial. Boston’s Freeman directs an international COVID-19 registry for doctors to report cases of possibly virus-linked skin symptoms. Of 500 reports since late March, about half are chilblain-like spots on the feet, she said.Chilblains, what doctors call “pernio," are an inflammatory reaction. When pernio-like reactions appear in coronavirus-infected patients is one of many mysteries. For some people, it’s the first or even only symptom they notice. Others see the toe problem at the same time or even a few weeks after experiencing more common and serious COVID-19 symptoms.It's showing up in young people too, according to Dr. Amy Paller of Northwestern University, who is part of a pediatric dermatology registry also collecting images of patients' toes.Among the theories: Is it just inflammation triggered by an infection instead of the cold? Is the virus irritating the lining of blood vessels in the skin, or perhaps causing microscopic blood clots?“The public health message is not to panic,” Freeman said, noting that most toe patients she's seen haven't become severely ill.Are they contagious? “We can't tell just by looking at your toes,” she said. Other medical conditions, such as lupus, can cause similar spots — another reason doctors should discuss each patient's overall health and next steps for testing or other needed care. ___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

Related video above: Doctors warn of strange new symptoms in children

Skin doctors are suddenly looking at a lot of toes — whether by emailed picture or video visit — as concern grows that for some people, a sign of COVID-19 may pop up in an unusual spot.

Advertisement

Boston dermatologist Esther Freeman expected to see skin complaints as the pandemic unfolded — various kinds of rashes occur when people get very ill from other viruses.

“But I was not anticipating those would be toes,” said Freeman of Massachusetts General Hospital, who has viewed via telemedicine more toes in the last several weeks than in her entire career.

They’re being called “COVID toes,” red, sore and sometimes itchy swellings on toes that look like chilblains, something doctors normally see on the feet and hands of people who’ve spent a long time outdoors in the cold.

Don’t race to the emergency room if toes are the only worry, said the American Academy of Dermatology.

Earlier this month, it issued advice that a telemedicine check is the first step for people wondering if they have “COVID toes” and who have no other reason for urgent care. Doctors then should decide if the patient should stay in home isolation or get tested.

The most common coronavirus symptoms are fever, a dry cough and shortness of breath — and some people are contagious despite never experiencing symptoms. But as this bewildering virus continues to spread, less common symptoms are being reported including loss of smell, vomiting and diarrhea, and increasingly, a variety of skin problems.

In one report, dermatologists evaluated 88 COVID-19 patients in an Italian hospital and found 1 in 5 had some sort of skin symptom, mostly red rashes over the trunk. In another, Spanish doctors reported a series of 375 confirmed virus patients with a range of skin complaints, from hives to chickenpox-like lesions to the toe swellings.

Pictures of reddened toes and rashes all over social media and doctor chat groups have “already enabled the rapid recognition of skin signs by dermatologists. It is now time for rigorous science” to understand the link, Dr. Kanade Shinkai of the University of California, San Francisco wrote in a recent JAMA Dermatology editorial.

Boston’s Freeman directs an international COVID-19 registry for doctors to report cases of possibly virus-linked skin symptoms. Of 500 reports since late March, about half are chilblain-like spots on the feet, she said.

Chilblains, what doctors call “pernio," are an inflammatory reaction. When pernio-like reactions appear in coronavirus-infected patients is one of many mysteries. For some people, it’s the first or even only symptom they notice. Others see the toe problem at the same time or even a few weeks after experiencing more common and serious COVID-19 symptoms.

It's showing up in young people too, according to Dr. Amy Paller of Northwestern University, who is part of a pediatric dermatology registry also collecting images of patients' toes.

Among the theories: Is it just inflammation triggered by an infection instead of the cold? Is the virus irritating the lining of blood vessels in the skin, or perhaps causing microscopic blood clots?

“The public health message is not to panic,” Freeman said, noting that most toe patients she's seen haven't become severely ill.

Are they contagious? “We can't tell just by looking at your toes,” she said. Other medical conditions, such as lupus, can cause similar spots — another reason doctors should discuss each patient's overall health and next steps for testing or other needed care.

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.